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A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding his prescription?

1) "I will take the daily dose at bedtime."
2) "I need to drink at least 2 liters of fluid per day."
3) "I know to avoid changing brands of the medication without my health care provider's approval."
4) "I'll avoid over-the-counter cough and cold medications unless approved by my health care provider (HCP)."

1 Answer

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Final answer:

The statement "I will take the daily dose at bedtime" indicates the client needs further education, as theophylline can cause insomnia and should be taken earlier in the day.

Step-by-step explanation:

A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. Among the statements provided by the client, the one that indicates a need for further education regarding his prescription is: "I will take the daily dose at bedtime." Theophylline is a medication that can cause insomnia, so taking it at bedtime might disrupt the client's sleep. Therefore, the client should be instructed to take the medication earlier in the day to avoid sleep disturbances. The other statements show an understanding of the medication regimen and necessary precautions. It is important to maintain adequate hydration (2 liters of fluid per day), to avoid changing medication brands without health care provider approval, and to be cautious with over-the-counter cough and cold medications due to potential interactions.

Choosing the correct time for medication administration is an essential aspect of the dosage and route of administration. It is crucial to achieve therapeutic drug levels and minimize side effects. Moreover, patients should be warned against behaviors that can exacerbate their condition or interfere with recovery, such as smoking, which can increase susceptibility to bronchitis and hinder recovery. Additionally, over-the-counter cough suppressants should be avoided unless approved by the health care provider, as they may also interfere with the treatment.

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